* LTC ACO, due to its focus on Medicare beneficiaries residing in long-term care nursing facilities, was uniquely and disproportionately impacted by COVID PHE MSSP policy changes
Since 2018, LTC ACO has exceeded MSSP Quality metrics and saved Medicare $73,009,205, equating to an average of $1,875 per beneficiary, in positive reconciliation years.
LTC ACO is a Medicare Shared Savings Program (MSSP) Accountable Care Organization (ACO) for Medicare Beneficiaries who reside in long-term care (LTC) facilities. The ACO’s participating physicians and clinicians work hard to provide better, more coordinated care to the Medicare Beneficiaries they treat in the LTC facilities. Medicare Beneficiaries continue to receive all benefits covered by Original Medicare, from any Medicare provider of their choice, and their benefits are not limited because the physician is a part of the ACO.
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LTC ACO works to dramatically improve the quality and cost of healthcare delivered to residents of long-term care facilities through engagement with practitioners. Joining LTC ACO presents an opportunity to participate in a model that works towards achieving better healthcare and quality outcomes for long-term care residents and incremental revenue opportunities for providers.
As the first ACO focused solely on residents of long-term care facilities, LTC ACO and its participating providers can engage in the savings that accrue to the Medicare program that result from their efforts to reduce preventable hospital and emergency room admissions for the long-stay residents in many of its facilities. Studies show that hospital expenses account for nearly 40% of Medicare spending on patients who live in long-term care facilities¹ and that a significant portion (30-67%)² of those hospital admissions are avoidable.
If you or your loved one has Original Medicare and your doctor decides to coordinate with other healthcare providers through LTC ACO, you’ll benefit because they’ll work together to get you the right care, at the right time, in the right setting, whether that is inside or outside of the long-term care facility where you reside.
